期刊文献+

巨囊型肝内胆管囊腺类肿瘤的MSCT诊断 被引量:1

MSCT Diagnosis of Giant Cystic Intrahepatic Bile Duct Cystadenomatous Tumor
原文传递
导出
摘要 目的:探讨巨囊型肝内胆管囊腺类肿瘤的MSCT特点,评价其诊断价值.方法:回顾性分析经手术病理证实的4例胆管囊腺瘤及2例胆管囊腺癌的MSCT表现,包括病灶位置、囊液密度均匀度、有无分隔、壁结节、强化特征、邻近肝内囊性病灶、肝内胆管扩张情况及邻近肝实质灌注等.结果:6例均表现为囊性病灶,5例病灶位于近肝门部,1例病灶位于肝右叶下段;4例病灶囊液密度均匀,2例囊液密度不均匀;5例病灶囊内均有分隔,1例病灶无分隔;2例病灶存在附壁结节并明显强化,2例病灶囊壁及分隔钙化;2例病灶邻近肝内可见小囊状病灶(1~2个);5例病灶远肝门侧肝内胆管轻度扩张,1例肝内胆管未见扩张;5例病灶周围肝实质动脉期异常灌注.结论:巨囊型肝内胆管囊腺类肿瘤MSCT表现具有特征性,对诊断、鉴别诊断及指导临床治疗均有较大价值. Objective: To explore the MSCT class features of giant cystic intrahepatic bile duct cystadenomatous tumor, and to evaluate the diagnostic value. Methods: Retrospective analysis MSCT performance of 4 cases of cystadenoma and 2 cases of cystadenocarcinoma of biliary which had been proved by operation pathology, including the location of the lesion, cyst fluid density uniformity, without separation or not, mural nodules and enhancement features, adjacent liver within cystic lesions, dilatation of intrahepatic bile duct and the perfusion of adjacent liver parenchyma. Results: All of 6 cases were cystic, 5 cases near the hilar, 1 case of in under the posterior lobe of liver; 4 cases' hydatid fluid were uniformity, but two cases were not; 5 cases were discretely intracapsular, 1 case not; 2 cases had mural nodules and enhanced significantly, 2 cases separate and wall calcification; 2 cases with of liver small cystic (1-2) near lesions; 5 cases' intrahepatic bile duct were dilated far side of the hilar, 1 case not; 5 cases' surrounding liver parenchyma were abnormal perfusion in the arterial lesions. Conclusion: The MSCT performancegiant of cystic intrahepatic bile duct cystadenomatous tumor with a characteristic have a greater value of the diagnosis, differential diagnosis and clinical treatment.
出处 《CT理论与应用研究(中英文)》 2015年第5期711-716,共6页 Computerized Tomography Theory and Applications
关键词 囊腺瘤 囊腺癌 体层摄影术 X线计算机 cystadenoma cystadenocarcinomas, tomography X-ray computed
  • 相关文献

参考文献10

  • 1LaufferJM, Baer HU, Maurer CA, et al. Biliary cystadenocarcinoma of the liver: The need for complete resection[J]. EuropeJournal Cancer, 1998, 34(12): 1845一1851.
  • 2Buetow PC, BuckJL, Pantongrag Brown L, et al. Biliary cystadenoma and cystadenocarcinoma: Clinjcal imaging pathologyic correlation with emphasis on the importance of ovarian stroma[J]. Radiology, 1995, 196 (3): 805-810.
  • 3回允中.阿克曼外科病理学[M]. 8版.辽宁.辽宁教育出版社, 1999: 913-914.
  • 4胡胜平,尹其华,缪飞,赵雪松,王明亮,陈憩.肝内胆管囊腺肿瘤的影像诊断及临床研究[J].放射学实践,2013,28(6):658-661. 被引量:5
  • 5赵燕风,赵心明,王爽,宋颖,周纯武.胆管囊腺类肿瘤的CT表现[J].放射学实践,2008,23(8):894-896. 被引量:6
  • 6徐鹏举,纪元,严福华,王建华,陈财忠,沈继章,张澍杰,张利军.肝内胆管囊腺肿瘤的MRI表现(附6例报告并文献复习)[J].放射学实践,2007,22(3):262-264. 被引量:7
  • 7Kim K, ChoiJ, Park Y, et al. Biliary cystadenoma of the liver[J].Journal of H巳pato-bi liary-pancreatic Surgery, 1998, 5 (3): 348-352.
  • 8Lewin M, Mourra N, Honigman, et al. Assessment of MRI and MRCP in diagnosis of biliary cystadenoma and cystadenocarcinoma[J]. Europe Radiology, 2006, 16(2): 407-413.
  • 9王晓燕,李子平,彭振鹏,全显跃,许达生.肝胆管囊腺瘤及囊腺癌的CT诊断[J].中华放射学杂志,2005,39(3):289-292. 被引量:56
  • 10Korobkin M, Stephens DH, LeeJK, et al. Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings[J]. AmericanJournal of Roentgenology, 1989, 153 (3): 507-511.

二级参考文献28

  • 1王晓燕,李子平,彭振鹏,全显跃,许达生.肝胆管囊腺瘤及囊腺癌的CT诊断[J].中华放射学杂志,2005,39(3):289-292. 被引量:56
  • 2Deha Erdogan,Olivier RC Busch,Erik AJ Rauws,Otto M van Delden,Dirk J Gouma,Thomas M van Gulik.Obstructive jaundice due to hepatobiliary cystadenoma or cystadenocarcinoma[J].World Journal of Gastroenterology,2006,12(35):5735-5738. 被引量:27
  • 3徐鹏举,纪元,严福华,王建华,陈财忠,沈继章,张澍杰,张利军.肝内胆管囊腺肿瘤的MRI表现(附6例报告并文献复习)[J].放射学实践,2007,22(3):262-264. 被引量:7
  • 4Ishak KG, Willis GW, Cummins SD, et al. Biliary cystadenoma and cystadenocarcinoma: report of 14 cases and review of the literature. Cancer, 1977, 39: 322-338.
  • 5Fernandez MP, Redvanly RD. Primary heapatic malignant neoplasms. Radiol Clin North Am, 1998,36:333-348.
  • 6Buetow PC, Buck JL, Pantongrag-Brown L, et al. Biliary Cystadenoma and Cystadenocarcinoma: clinical-imaging-pathologic correlation with emphasis on the importance of ovarian stroma. Radiology, 1995,196:805-810.
  • 7Korobkin M, Stephens DH, Lee JK, et al. Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings. AJR, 1989, 153:507-511.
  • 8Choi BI, Lim JH, Han MC, et al. Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings. Radiology, 1989,171:57-61.
  • 9Florman SS, Slakey DP. Giant Bilary Cystadenoma: case report and literature review. Am Surg, 2001,67:727-732.
  • 10关长群 陈新 王锦玲.肝囊腺癌的CT诊断(附五例报告)[J].中华放射学杂志,1995,29:267-269.

共引文献63

同被引文献14

引证文献1

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部